Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Facility		$158.63	$158.63	$158.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $131.63 / $158.63	Professional		$113.06	$131.63	$158.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.19 / $336.19 / $336.19	Facility		$336.19	$336.19	$336.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.64 / $306.82 / $383.52	Professional		$242.64	$306.82	$383.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $191.07 / $268.08	Facility		$98.39	$191.07	$268.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $101.25 / $309.42	Professional		$86.06	$101.25	$309.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.76 / $309.42 / $375.02	Facility		$217.76	$309.42	$375.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $309.42 / $369.82	Professional		$202.50	$309.42	$369.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $406.57 / $463.59	Professional		$241.31	$406.57	$463.59
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $86.06 / $168.75	Professional		$70.88	$86.06	$168.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $168.75	Professional		$168.75	$168.75	$168.75